Grand Canyon Casualty

No, you listen, my lovely,

you've been telling me I'll get a bed for two hours.

This is an elderly patient,

he shouldn't be on a hard trolley all night waiting for a transfer.

Whoa! Erm, Mr Cartwright, let's get him over here, please.

I'm Dr Lyons, welcome to Holby City ED.

Let's see what's wrong with you then.

Well, make the bed yourself. How's that for a brainwave?!

Oh, yeah? I don't appreciate YOU giving me aggro at eight o'clock

on a Friday night when this place is swamped. So you are taking him,

even if I have to come up there myself and make the bed for you. Thank you, my lovely.

Right, Mr Lovett's good to go.

Bloods have gone. Still waiting for Mrs Blenheim's scan.

LFT results for Mr Bhatajee.

Excuse me. Breathe. You look like you're going to have an aneurism. Are you all right?

-I'm fine, totally fine.

-Right.

Annie!

-We need some more help over here.

-Annie!

Annie?! Annie!

OK, OK, Maisie, love. Come on. Let's get you back to bed. Come on.

Do I have to do everything here?!

Sorry, been running round like crazy. We're a medic short.

Is there still no word from her daughter?

Seem's like family counts for very little these days.

-Sorry, I...I didn't mean...

-Would you like a cup of tea?

SHOUTING

-Britney?

-Sorry, Linda

Britney, what are you doing here?

It's all right. I'll take over here

Hello, can I have a return ticket to Arizona, please?

The one leaving from Holby at 3.10,

arriving Amsterdam Schipholl at 5.10. Departing 7.10,

arriving the following day at Minneapolis at 4.10. Departing 5.25,

arriving Pheonix Arizona 7.27.

100, 200, three...

400.

Ten, 20, 30, 40...Keep the change. You do take cash, don't you?

Yes, we do.

-Wish me bon voyage, Annette.

-Bon voyage.

Britney, I don't understand. Calm down and tell me who said...

I told you! That bitch, Rose, Rosie, whatever her name is.

-She said they're going to split us up.

-Who's Rosie?

What's wrong with you?! I told you! That cow I have to share with.

-Don't have a go at me.

-But will they? Can they?!

Well, they'd have no reason to.

What have you done?

Sam, do you have a moment, please?

Excuse us.

-Mr Jordan?

-Walk with me.

I've just been in conference with the GMC. They contacted me

to say Keith Parr is proceeding with an official complaint against you.

I know. I had hoped we could sort this out ourselves, but...

-What?! I could see the minute he opened the door he was in no mood...

-What door?...

-Oh, please tell me you didn't?

-Well, I felt I had to.

-Oh, Sam!

It almost killed me to go around there. I just told him I probably shouldn't have done...

You thought that would do the trick? A half-hearted apology?

You have a lot to learn about human nature.

You just made a bad situation a whole lot worse. Thank you.

Well, luckily the GMC are happy for you to keep working

while they investigate and they will keep us informed.

But...I think you should contact your defence society.

Please avoid discussing this

with Dylan or Zoe cos it could compromise their testimony

-Why am I in the dock here?

-Sam, we know what happened

and we will support you.

Are you confident you can continue your shift?

Good. In the meantime, it would be really helpful

if you could stay out of trouble.

I know it's wildly out of character, but practise biting your tongue.

-She called Joe a "spaz"! What would you do?!

-So you head butted her?!

Course I did. Stupid cow.

-Britney, you can't go round...

-It's like a prison, that foster home.

I have to share with this anorexic watching Disney channel on loop.

Joe's stuck in another room so if he gets upset I can't get near him

-cos they think they can sort it out better.

-Every house has rules.

We were OK with you. We were OK! Why did you send us off?!

You weren't happy. I couldn't look after you properly.

You could try again.

-No, I can't.

-Why can't you?

Why don't you want us?

Look, I'm at work right now. I'll get you a drink

and then we'll give Stephanie a call.

So you can get rid. Mum said you'd be like this.

Always looking out for number one. Selfish.

-Britney, please.

-Did the same to her, didn't you? You ditched her in it.

-That's not fair.

-Truth hurts.

You're too young to understand the truth. Your mum...

You shut up about my mum!

My mum's worth ten of you so shut your filthy mouth!

-Or what? You'll head butt me too?

-You'll see.

What goes around, comes around.

You'll have no kids, you're too old now anyway

and you'll die a lonely, sad cow.

Listen to yourself! You wonder why I don't want you around?!

-What's going on?

-She's a nasty piece of work. That's what's going on.

I hate you, you hear that? Hate ya!

Don't ever come near me, ever again.

You all right?

Oh, hallelujah. I thought you'd never leave!

-Charming.

-Now, you've got the hotel number, get some pizzas,

-and there's more beers in the fridge.

-Rock'n'roll.

Now, Arabella, do you think you might finish a party on your feet,

and not on your knees?

-Nope. Sorry, no can do.

-Well, your mother's an eternal optimist.

I mean fantasist.

Have a lovely time, darling. You really deserve it.

Stop embarrassing him.

So, how are you, Son?

Yeah, just...feel a bit... You know...

-..Bella.

-Don't.

Sometimes there's place for only one at the mountaintop.

Your sister's fine. Well... she'll take care of herself.

Look, next month, I'm going to New York, cardiology conference,

and, well, I thought you might like to join me.

Yes, you heard.

We'll talk more anon.

Wish me luck.

I'm going to try and get your dad to relax for the evening.

We love you too. Goodbye.

Hallelujah. We have lift off!

I don't suppose you could check me in? I've only...

Owww.

You OK, madam?

-Sorry, sorry.

-Are you all right?

This is where you've been hiding. What are you doing?

-Erm, nothing, just...

-Oi. You need to chillax.

-What's this?

-Little happy pill.

Cheer you up. Come on, golden boy. One night only?

It's going to be pretty full on for you soon.

Let's go.

Go, go, go!

Britney. I'm sorry, it's all got out of hand.

Just come back here and we'll talk, OK? Please, ring me back.

Oh, Linda, sorry. Are you all right? It's just we really need you.

Yeah, I'll come now.

Stephanie, it's Linda Andrews here. I'm sorry for calling so late.

DISTORTED MUSIC

'It's busy. Go away!'

Houston, we have a problem.

Get the hell down!

Louis, what are you doing?

Guys...you need to get down! Get down!

Louis, don't!

Guys, you need to get down!

Guys, you got to get down from here. My parents are going to be back.

GLASS SHATTERS

(CRIES) Louis!

Thanks, bye.

That looked a bit intense. Did she do a runner?

Social worker said it's quite common If I don't hear back

-in the next hour, I should call the police.

-Suppose it is.

When I was in care, I went AWOL every second day.

Thanks for that, I feel much better.

-I could cover you for you if you like.

-I'd rather keep busy.

I'll take this one.

You're wasting your time.

All right, Linda? This is Josie Betts, 38,

she fell over at the airport. Query fractured right ankle.

It's very swollen but she's got good circulation.

-She might have had a little drink or two.

-I can't miss my flight.

I wouldn't want to miss it either. she's on her way to Phoenix.

Arizona? Wow.

Cubicles are a bit full, so take her to CDU.

Dix? Come on, mate. We got a shout. Could be big.

Someone's gone through a glass roof at a party.

OK, more, fun and games.

Woah, woah, woah. It's OK, we've all been there.

'Just come back here and we'll talk, OK?'

'Please, ring me back.'

You all right, mate?

Course.

I'm Bethany.

Want to come sit with us?

All right.

This'll make you feel much better.

'Too much bubbly.'

Got a bit carried away.

Been planning this trip for ages.

-Phoenix, you said, eh?

-Yeah, the Grand Canyon.

-I want to see the Grand Canyon.

-And take the helicopter ride?

-Yeah, exactly. Have you been?

-Yes.

-Amazing is it?

Hell, yeah.

-Ow.

-Sorry. Ankle doesn't look too clever. Let's get an X-ray.

-How long will that take?

We'll be as quick as we can.

-Is there anyone we can call for you?

-No. I'm a free agent, me.

Hi, it's Linda in CDU. I need an X-ray for Josie Betts.

All right, thanks.

-But my flight leaves in a few hours!

-I'll be right back.

All that bloody nurse act.

Then she ships us off to that dump with the clueless couple.

Anyway, I told them where to get off.

I just do this.

That must have hurt

Here, give us your phone.

She's in CDU. Quick as you can, please.

Cracking the whip tonight, eh?

I just want to get Josie on that plane.

What? Hoping there's room in the suitcase, are you?

Well, I wouldn't say no.

A Thunderbird, sunnies, an open road...

-Oh, yeah? Where we going then?

-You're going nowhere, mate.

Awww, he can come.

-No. Oh, no. I thought this was just me and you, Thelma?

-Come on.

-I think he'd look cute in a cowboy hat.

-Oh, do you reckon?!

Hey hey! Yes, siree, partner.

What?

'GCS at the scene was 14/15.'

BP 140/70, pulse 70, sats are at 95% on O2.

He had five of morphine on the way in and he's very tachycardiac.

Is he going to be OK?

This is Arabella, Louis' twin sister. Parents were at Rosebury Manor for the night.

Apparently, they knew about the party.

Louis? Louis, speak to me!

OK, Louis, I'm Sam, I'm a doctor here at Holby City ED.

We're going to take good care of you, OK?

Very gently on three, please. One, two, three. Lovely.

OK, does it hurt anywhere else apart from your arm? No? OK.

Right, let's get another line in, start him on the usual bloods,

including group and save and lets do a venous gas.

OK, Louis? Louis, can you hear me?

OK, let's have another look. Well there is no obvious injury

apart form the fractured forearm.

ABC's are normal, hypo-tachycardia.

Abdomen soft. Could be looking at internal injury, hypolemia...

Louis I'm going to have to ask you, have you taken anything tonight?

Because your pupils are dilated and your pulse is all over the shop.

I...I...I don't know

OK, Look no one's going to be angry with you, mate, but we need to know as soon as possible.

He's taken Meow Meow. I know. I gave it to him.

Meow Meow. OK, thank you. He'll need supportive management.

-Keep him on the cardiac monitor and start a bag of Hartmann's.

-Good call.

-Let's rock and roll.

Is that Josie's?

Yup she's lucky there's mostly just a soft tissue swelling just a really bad sprain.

MOBILE BEEPS

Does she think that's funny?

"I bn kidnapd u need 2 pay 1000 pnds b4 2morro or nevr c me again."

At least you know she's all right. Rubbish at spelling, like.

Sorry. Excuse me, I can't wait any more.

Are you OK? Can someone clean this up, please? Back to bed.

Watch yourself, watch.

Did you bump your stomach when you fell?

-Abdomen feels distended. I'll get the fast scanner, keep her in the bed.

-You don't need that.

-Humour me.

You can't get on a plane if you are unwell.

I can discharge myself, can't I?

-I don't want to stay here, I've had enough of people pushing and poking me.

-Josie what's is going on?

-Nothing, I... I told you, you don't need that.

-Why?

Because I can tell you what you're going to find.

I have ovarian cancer. Stage 3.

Pulse is settling. That's good news.

You did the right thing telling us so early.

Mum and Dad?

Not yet. Any minute, I'm sure I'm officially dead meat...

They don't have to know, do they? About the drugs? We're nearly 16.

"Nearly" being the operative word.

Please. I just needed to let my hair down for one night, I've been studying really hard.

He just got into Edwalton college...

I convinced them throw a surprise party.

Yeah, well, you certainly managed the "surprise" bit.

Exactly. What good would it do?

I learnt my lesson, I swear it.

-It was just a mistake. Have you never made a mistake?

-Me? Never(!)

They said 12 months with chemo, or 6-12 months without. Lovely.

And you've refused further treatment?

I can't do it again. It nearly finished me off last time.

I don't want to spend the time that I have left lying in bed, vomiting,

losing my hair, and...dying, just doing it really slowly.

I want to see the Grand Canyon.

-Why didn't you tell us?

-I don't like that look in people's eyes when they feel sorry for you.

It's not quite as simple as that.

Say you do go and your condition gets worse. Your insurance isn't going to cover you.

I appreciate what you're saying, but I think that's up to me, isn't it?

Look, if I don't catch that flight, I will never have the money to go again.

Do you have your boarding card?

We'll then there's still time.

-I'm entitled to patient confidentiality.

-There's no point.

You know what they're like. They'll be all over this place like a rash. Dad's head of Cardiology at St James.

-And Mum's a solicitor so between them they think they run the galaxy...

-Well, they don't run this ED.

-Yes, with respect I am a doctor.

-And with respect you could be the PM you can't barge in here.

-Son.

-Louis!

-Mr Blakeley, I'm Sam Nicholls, ED SPR.

It's Doctor Blakeley, actually.

Yes, I'm aware of who you are. Would you mind if we stepped outside and have a little word with you.

-No need, we're fine here.

-All the same. Shall we?

Right. Let's hear it.

-Hugh, please. This isn't your ward.

-No, I'm all ears. Obviously if you know who I am,

you'd know there's no reason to usher me out.

Of course. But right now, you're a father, not a doctor,

and, understandably, there are two very anxious children in there

very worried about how you may react.

Yes, well, with respect, you don't have to shield our children from us.

-We treat them as adults.

-Absolutely. We knew all about the party and we know what teenagers are like.

Great. So Louis has a mildly angulated distal radial fracture.

The orthopaedic registrar is currently reviewing the films

to see if it needs manipulating.

And the tachycardia? I've read the obs chart.

Is it me or were his pupils a bit dilated?

We could fit her with a Beckham boot, give her a couple of paracetamols and put her in a cab.

Just cos you're desperate to get on a plane yourself. Maybe we shouldn't take her word for everything.

OK, wake up her oncologist, then go tell her she may miss her flight.

Lenny it's now or never for that woman.

She's got nothing here, and at the end of the day, she's an adult.

She can discharge herself. This lot need their marching orders.

This is really inappropriate.

Have you taken an illegal substance tonight? I'd appreciate hearing it from you.

Right.

Why? What were you thinking?

What?

Tell me you haven't.

-Mum, please.

-You gave them to him?

-What am I missing here drugs, Bella?

It's one thing getting legless at a party, but bringing drug dealers and all sorts into our home?

-I'm a solicitor, for heaven's sakes!

-It wasn't like that!

-Are you jealous?

-What?!

-Why else would you? Are you trying to jeopardise him?

You're going to say nothing? I didn't shove them down his throat, did I?

Will you just cut it out? All of you!

I didn't get into Edwalton College. I failed my exam. I lied.

I was in a bit of a state. I wasn't thinking.

It's not Bella's fault.

I understand that you are all very upset and angry, but this is a resus room.

Upset? Yes well you could say that.

May I remind you that he's a minor

and you have been withholding vital information for us.

A minor you've said you treat like an adult.

I want to see your consultant.

MOBILE BEEPS

Whoa. Andi's text. "This isn't funny. Call me". Bossy cow!

Told you she don't care.

-She soon would, if she thought we mean business.

-Too right.

I'm up for it.

I really appreciate this.

You're rushed off your feet, you've got timewasters like me.

It's not a problem. At least, I've made someone happy tonight.

MOBILE BEEPS

Excuse me.

Bad news?

Just family stuff. My niece. Constant reminder why I've never had kids...

-You OK?

-Yes yes just got a bit of a...

-Headache?

-..Mm. Champagne is evil.

-Linda can I get a word?

-Excuse me.

-Look at this, can you believe that.

-I don't know what I believe any more.

Josie Betts' notes. Take a look at the next of kin.

'I understand your frustration'

but I can see where Dr Nicholls is coming from.

Louis is only a few months away from being 16,

he seems perfectly aware of the significance of what he's done.

He's Gillick competent and as his doctor, I respected his right to privacy.

I would have found out anyway, I am a cardiologist for heaven's sakes.

But he was adamant. And judging by that scene we just had...

Which never would have happened if you'd told us straight off.

Look what's done is done. Let's try and move forward here.

-Louis is much better, he's no longer in any danger.

-Absolutely.

We are waiting for the orthopaedic registrar to come and give him the once over,

-and we will be transferring him to Paediatrics.

-Hopefully, it's not too much to ask to be kept in the loop?

-Of course not.

-Excellent.

Walk with me.

They leave a bunch of teenagers alone to party unsupervised,

tart it up as progressive parenting and then when it all goes wrong

they realise their kids aren't saints, they blame it on the medic.

They've just had a shock, don't take it personally.

Thanks for...

backing me up.

Families are complex, Sam.

A husband and two kids. That's not something you forget to mention.

What was I supposed to say?

"I have cancer and I've left my family

"cos I want to go and see the Grand Canyon?"

Doesn't sound too good, does it?

How old are they?

Will's 12. And... Ben is nearly 10.

See? That's why.

No, I'm not judging you, I just want to understand.

Understand?! Understand what? I can't do this any more.

That house was like a prison. I couldn't breathe.

I'm not like you.

I haven't done anything with my life.

I just want to be able to do something on my own.

For me.

-Can I have a minute?

-Of course.

Look, Son. I won't deny the fact that tonight was...well, a shock.

On many counts. But we've been talking, your mum and I.

I was saying to your dad, you must have been under a lot of pressure.

And we've been very busy. Too busy to notice, perhaps.

-It's just...I didn't want...

-To disappoint us. Yes, yes. We know.

Louis, you have all this potential, all this talent.

We know how much you want this.

So we've decided that we'll take time off from work, get you a good tutor,

and we are going to approach this in a more structured, methodical way.

-But I...

-All is not lost.

You can take that exam again you're going to get straight back on the horse.

We are going to work together, and you are not to worry,

I'll make sure you pass, if it's the last thing I do.

You just rest, OK?

HE MOANS

What is it? Your stomach?

Acute retention. We need to get you an urgent ultrasound down here ASAP.

Your bladder's distended and it's full to bursting. Breathe nice and deeply for me.

-Thank you, thank you so much.

-I hope you find everything you're looking for.

-Send us a postcard.

-I will, when I clamp.

Clamp? What's clamp?

When I get to the other end, you know, the, um...the, um...

-Woah, you OK? Can I have some help, please.

-No...

Josie, listen to me. I know you're desperate to leave,

but it wouldn't be safe for me to let you.

There's something wrong, and we need to know what it is.

-Do you understand?

-Yeah?

Yeah, OK, just sit back now.

There you go.

OK, thanks.

I can't work it out. Either we've overlooked a perineal injury

or it could be "performance anxiety" due to stress?

-That was Paeds on the phone.

-I mean his parents have just announced phase two of Project Golden Boy.

They've found a bed for Louis Blakeley.

Guess who tonight's PICU Consultant went to medical school with.

Dr Blakeley. Nice. Well, I'm still not finished with their son.

We need to catheterise him,

make sure there's an obstruction down there.

He ain't going anywhere just yet.

There you go.

Most men normally ask me to marry them at this stage, they're so grateful.

OK, well there is no obvious obstruction

so I think we can exclude any damage to the urethra.

-Would you like me to get anyone? Your mum...

-No! No, thank you.

OK, I just going to check your reflexes.

OK, just look up for me.

Hmmm. OK.

Can you just!

Sorry, I'm tired, and... And these lights...

OK. Could we dim the lights, please?

-How's he doing?

-Can we see him?

I've just turned the lights down. He desperately needs to rest.

I think you should all just give him some space.

If it is from my head, could be concussion?

Let's see. Shouldn't take too long.

So I take it she had a pretty convincing reason for why she kept changing her story all the time?

She was so upset said she had to do this for herself.

HE SIGHS

What? Why is it that everyone presumes a woman would just never pack up and decide she's had enough?

-If she was a man you'd shake his hand and offer to buy him a drink.

-All right, Linda call off the dogs, eh?

-Lenny.

-You're kidding me.

Right. OK.

-No, no, not call no-one! No.

-I really think there should be someone with you now.

-Why?

-Let's get you in here.

-Tell me.

-Can you get that curtain?

Your cancer has metastasised. It's spread to your brain.

After what you've experienced today the nausea, the fall,

it's probably been caused by the tumour which we believe is bleeding.

Now, we've spoken to the neurosurgeons,

they can get you into theatre and relieve the pressure, but...

-How long?

-Not long.

-Please, let us call your family?

She still isn't got back, the stupid idiot. We should go down the hospital, put the pressure on.

Nah, there'll be security and stuff there need to get her out, on her own.

Maybe we should just leave it, I only wanted to wind her up.

-We ain't leaving it.

-Here, let me ring her?

We should duff her up a bit and send the picture, she'll come out then.

What do you mean, duff me up? Give me my phone!

Shut up! What, you worried you won't get your share?

I don't want my share I don't want to do this!

We're ain't asking you! Told you we should duff her up!

Arghhh! You cow!

-No, I want to leave!

-Josie, please try and stay calm.

-You might have to sedate her.

-Josie, breath with me. One...

Linda.

I'll be outside then.

I know this is a terrible shock.

I can't call them! I can't call them!

You are dying.

Maybe that's for the best. On my own.

You need your family

They won't forgive me. What do I say?

Josie, all this time, you've had a brain tumour growing,

your emotions, your reactions,

they could have been totally affected by that.

-You weren't thinking straight, your family will understand.

-It's too late!

No, it isn't!

You just have to explain to them. Josie, you may not see them again.

I should have left tonight, please, please, don't force me to, please!

It's OK.

Catheterisation excluded any trauma to the urethra,

peripheral nervous system examination is normal, excluding spinal trauma.

-So despite your concerns, you've found nothing conclusive so far?

-That is correct.

But you think there might be something else? What can it...

Well, it could be any number of options. We could be here all night.

They could vary from a passing episode,

to a dormant physical condition, or something he forgot to mention.

Exactly. So, on balance, perhaps it would be better

to transfer him to the ward and monitor the situation.

I presume you could use the extra bed?

I've been asked to advise you that, obviously, as Louis took MCAT,

CAHMS are going to want a word with him, just to make sure.

-Of course.

-Louis Blakely. I don't know what's up,

-but his obs have deteriorated.

-OK, thanks.

I've tried taking to Josie. I can't force her.

Maybe she'll change her mind after the op. Why hasn't she called me back? It's doing my head in.

Could we argue that she's not compos mentis? Make the decision for her?

-No.

-Why? You said yourself she's not thinking straight right so...

But she's not been hallucinating, she's not been rambling.

Oh, come on, Linda. She's hardly got the capacity at the moment, has she?

So what you wake her family up in the middle of the night

and spring this on them and it's all going to be a peaceful reunion by her death bed?

Cos it may not be. It may be messy.

-And then we've turned her last few hours into a living hell.

-I'm only thinking of her here, right.

And what do you know about her? About her life?

We may not like her decision but it's her right to walk away from her family,

die on her own if she wants to. It's her choice.

Louis? Louis, can you hear me? Louis, can you squeeze my fingers for me?

OK, let's get a full set of obs, get him on the oxygen.

-He's tachycardic AGAIN!

-How can he be?!

Call Mr Jordan!

It's OK.

There's no free fluid.

His pupils are dilated, again. Whack up the oxygen and let's do a venous gas.

OK, heart rate 120, BP 87 over 64.

This can't be the MCAT now.

N-No, it can't. He, erm... He-he never took it.

What?!

-What's this?

-He was writing it when I came in his room tonight.

It's, er...a list of how to look after Peanut. Our dog.

Talk to me, Sam.

Right, OK, look at this. We've got a wide QRS and right axis deviation.

-That is not consistent with MCAT.

-It's not MCAT.

-What else haven't you told us?!

-Nothing!

-Do you mind? We're trying to help your son.

-I'll get it out of him.

-No, you wont.

-I know him better than anyone.

-Outside now, please. All of you, out.

OK, this way, please. Come on. Come on.

Louis?

-Louis?

-Look, he took something, but what?

PHONE RINGS

Britney?

Britney, where are you? You need to tell me where you are!

I don't know.

-'They're after me!'

-What?! Who's after you?

Down here!

Let's get her!

COMMOTION OVER THE PHONE Brit?

What's in the bag?!

-You're going to pay for this!

-Get her phone!

COMMOTION CONTINUES Britney?!

Let's take this outside.

Is there anything else he could've taken? Any other tablets lying around house?

-You must have missed something!

-I don't think I have.

The urinary retention - could he have got hold of any tricyclics?

-Tricyclics?

-Anti-depressants.

-Look, this is, er...

This is ludicrous!

You must have missed something! Why aren't you sending him for an MRI?!

-Stop it. There's no point. She needs to know.

-Know what?

Hugh's been taking anti-depressants for years.

-Dad?

-Yes. They would be consistent with his symptoms.

-You're barking up the wrong tree.

This all makes sense now. He took a few at the top of the evening,

then he lied about it to cover his tracks. Then he took the rest... when he was in my care.

-Look, are you deaf?! I'm telling you, why would he?!

-Why?!

The pressure! The failed exam, a surprise party!

He was writing a list of how to look after his dog! God knows how long he's been bottling all this up.

-No, n-not Louis...

-Oh, my God...

Then you just go on in there and tell him he has to do the whole thing all over again!

No, this is ridiculous. You know...

Look, w-what are you trying to say, you STUPID girl?!

You want to hear it? Fine!

Your son tried to take his own life.

Dr Nicholls. Your patient, please.

-Hugh, you need to listen to me. What she says makes sense.

-No...

-Yes. We have to face it. We did this to him. We put way too much pressure on him...

-Don't be ridiculous!

He's not YOU! He will never be you!

He was unhappy, really unhappy.

Of course he wasn't! Why would he be?!

He's going to New York with me, then he's going back to school, then...

-Look, he's a really talented boy...

-He's DEPRESSED!

He's just tried to end his own life!

No more, Hugh. I'm not going along with this any more. They need us!

Now, I'm telling you, you drop your pride and you get back in there and be a dad to him!

-I'm sorry, I just... I couldn't...

-There's a fine line between being honest and being blunt.

We would've worked it out without you aggravating the situation.

OK, I'm giving him 10 mils of 8.4 bicarbonate before he develops arrhythmias.

OK?

Hugh!

Hugh, stop!

Listen, please! Just listen to me...!

-He hasn't taken those pills and I'm going to prove it!

-Hugh!

Hugh!

SEATBELT WARNING BLEEPS

Yes, and then the phone went dead.

OK, I will. I will, thanks.

-So?

-Stephanie's calling the police again.

Lenny, she's in trouble. If something happens to her...

The last thing I said to her was I didn't want...

Don't do that to yourself. Maybe you should go home.

No, I'll go out my mind.

OK. At least go outside, get yourself some fresh air.

It's an order. Go, go.

-How is he?

-Stabilising. We were on the right track with the tricyclics.

But...he's still drowsy, he's still unwell.

This is pretty potent stuff when taken like this.

Where is...er...

He...

He took off.

I'm sorry, I, erm... I know it's a lot to take in.

Louis. Why?

I couldn't do it any more, Mum.

I'm not golden boy.

But you never said.

Why didn't you say?

Maybe...

..he was scared that...you'd treat him like me.

Miss Useless.

(What?)

We never thought you were useless.

We just...don't want to force you to be something you're not.

What? What's happened?

We've just had reports of an accident just outside the ED. Teenage girl, multiple trauma.

I'm afraid your husband was involved.

SIRENS WAIL

Helena...

-OK.

-Ready? Go, go, go.

You're at Holby City Hospital, sweetheart. Stay calm for us! We'll get you inside.

Go, go, go.

Breathe nice and deeply for me. We'll get you sorted out, OK.

Britney?

Tash, can we move Mr Blakeley to HDC, please?

Got a young girl 12, 13-years-old, no ID.

She's been hit by a car at approximately 30 miles an hour about two streets away from here.

Find out a name, please. I'll call Ortho.

Can you hear me? What's your name, darling?

Britney! It's Britney!

What is it?

It's not her.

It's not her.

OK, can I get in there?

What was her GCS?

OK, thanks.

That's was her coat. They've got her mobile. But where is she, Lenny?

You know, when she turns up, I'm taking them back,

cos I'll never have a full night's sleep unless I know they're safe.

(I know.)

Britney...

Apparently they took everything off her. She feels totally humiliated.

The girl's now in ITU and the other two boys have gone AWOL.

It's just awful, isn't it?

Let me talk to her.

I hope you have more luck than me. She's still freezing me out.

Sorry, if you'll excuse me, Stephanie.

-I'm just taking her up to theatre.

-I'll take over.

-You sure?

-Yeah.

Josie, will you let me call your family for you?

I might be wrong, and if I am, I won't mention it again.

But, please, I think you want to say goodbye.

How, erm...

H-How is she?

Stable.

The police are pressing charges.

Louis?

Much better.

But he'll be...

..referred to the Psychiatric Unit.

We got it wrong.

We need to go and apologise to our children.

-Josie gone up to theatre?

-Yeah.

-AMERICAN ACCENT:

-Hey, you still hankering after that slice of apple pie?

Humble pie, more like!

-Little Lohan still not talking to you?

-Nope.

-Perhaps you should "strt" with a "T-X-T".

-Good idea.

You think that'll work?

-I-M-H-O?

-Yeah! H-M-U, my bro!

Oh, come on! You better start taking lessons, doll.

-K-I-R, Dr Lyons, K-I-R.

-Eh, eh?

-What's K-I-R?

-Keep it real.

-Mr Betts?

-Yeah.

-I'm Linda Andrews. Come through.

-Going to jog home?

-No, I'm going to walk.

-You staying?

-No rest for the wicked.

Mm! Thank you.

If there's anything you need, Mr Betts, then let me know.

Could you take these through to see Josie? Thank you.

-Mr Betts? Is that...?

-Josie's family.

It was the right thing to do.

I'll take Britney back now. We're very lucky. These are experienced foster parents.

They've been through all sorts.

Look, Stephanie, I've been thinking about it, and I want them back. I want to foster them.

I've realised that when I gave them up it was for my sake. They should be with me. They're my family.

It's a bit more...complicated than that. Once you give them up...

Well... And the whole giant wheel is set in motion...

What are you saying?

I'm sorry, but...

It's not going to be that easy.

Subtitles by Red Bee Media Ltd